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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
April 02, 2025 - literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries … assessment.
10
Barriers to Practice
Finding time for skin assessments
Determining correct etiology of wounds … is POA, make sure that document is sent to be cosigned by the medical provider. … Page 46
21
Documentation
Have computerized (or paper) form in medical record. … Care planning guides what will be done to prevent pressure injuries.
23
Pressure Injury care planning
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Device-Related Pressure Injury
Presented by Karen Zulkowski, D.N.S., RN
This webinar reviews medical … device-related pressure injuries, mucosal injuries, and how they differ from regular pressure injuries … injuries. … Module 3: Best Practices in Pressure Injury Prevention
Hospital: 200–400 beds
Pilot Units: Medical ICU … prevention education targeted to different types of nurses
Simulation with a mannequin to educate on wounds
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
April 02, 2025 - In adults, 34.5 percent of facility-acquired pressure injuries were identified as medical device related … Medical device-related pressure injuries result from the use of devices designed and applied for diagnostic … This slide shows best practices for preventing medical device-related pressure injuries. … /best-practices-for-prevention-of-medical-device-related-pressure-injuries/. … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
October 01, 2017 - In adults, 34.5 percent of facility-acquired pressure injuries were identified as medical device related … Medical device-related pressure injuries result from the use of devices designed and applied for diagnostic … This slide shows best practices for preventing medical device-related pressure injuries. … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65. … Determine the correct etiology of wounds. Many lesions may occur on the skin.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - literature and expert opinion—that represent the best ways we currently know of preventing pressure injuries … for prevention of medical device-related pressure ulcers." … Determining correct etiology of wounds.
Using inadequate documentation forms. … Slide 15: Best Practice
Pressure Injury Risk Assessment
Slide 16: Pressure Injury Risk Assessment … Care planning guides what will be done to prevent pressure injuries.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - Implementation Planning Goals
Determine the roles and responsibilities of staff in preventing pressure injuries … Slide 13: Wound Care Team Role
Serves as this hospital’s content experts on pressure injury prevention … Bimonthly Unit Champion pressure injury prevention/ wound care lunch and learn sessions. … Braden risk assessment and patient comorbidity review.
5 in 5 Visual Assessment Tool for pressure injuries … Wound Care Team, and Implementation Team in preventing pressure injuries.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - However—
• Not all wounds are clear cut. … of sDTI
• Falls
• Long OR/ER or transportation times
• Splints
• Accidents
24
Medical Device-Related … this is skin failure at life’s
end
36
Selecting Dressings and Treatment
Based on—
• Overall medical … A Little About Myself…
Today We Will Talk About
Assessing and Measuring Wounds
Types of Wounds
Mixed … Causes of sDTI
Medical Device-Related Pressure Ulcers
Remember the Bariatric Patient
Assess the
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Additional Related Training Resources
Wound Classification —AHRQ Pressure Injury Prevention Program … The wound may evolve rapidly to reveal the actual extent of tissue injury or may resolve without tissue … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … Number of injuries.
Location of injuries.
Stage of the deepest injury. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of wounds
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
October 01, 2017 - Image: Photograph shows a medical provider writing and using laptop. … Slide 9: Stage 2
Shallow open injury with a red-pink wound bed.
No slough. … If not sure, ask the Wound Care Team or Nurse. … Location of injuries.
Stage of the deepest injury. … Image: Photograph shows medical providers looking at papers.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - reducing pressure injuries. … Module 3: Best Practices in Pressure Injury Prevention
Hospital: 200–400 beds
Pilot Units: Medical … Show photos of pressure injury prevention staff (such as wound care nurses, skin champions, and Skin … Simulation with a mannequin to educate on wounds, proper head-to-toe skin assessment, and appropriate … and deep tissue injuries.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Adipose (fat) is visible in the injury, and granulation tissue and epibole (rolled wound edges) are often … The wound may evolve rapidly to reveal the actual extent of tissue injury or may resolve without tissue … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … ,
· Number of injuries,
· Location of injuries, and
· Stage of the deepest injury. … The shadowing intervention included requiring two RNs to sign off on skin assessments and staging of wounds
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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Implementation focused on MU Health Care’s 390-bed University Hospital, the only Level I trauma center … AHRQ toolkit, MU Health Care began this journey by assessing the need for hospital-acquired pressure injury … The electronic medical record (EMR) was utilized in numerous ways to inform team members and prompt action … scout, a thermal imaging device that can identify possible deep tissue injury. … scout utilization in the medical intensive care unit.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
October 01, 2017 - Image: Photograph shows medical providers standing behind a seated patient. … Image: Photograph shows medical provider with patient. … Image: Photograph shows leaders and medical providers meeting at a table. … Image: Photograph shows leaders and medical providers meeting at a table. … Wound Care Team: Interdisciplinary group of experts who provide day-to-day care of skin and wound needs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
April 02, 2025 - underlying soft tissue, usually over a bony prominence or related to a medical or other device. … injuries. … with a red-pink wound bed
No slough
9
Stage 3
Full-thickness tissue loss
Visible subcutaneous fat … If not sure, ask the Wound Care Team or Nurse.
16
Measures
Measures used in monitoring pressure injury … of injuries) 17 patients with any pressure injury
# of patients with a >Stage 2 pressure injury 5 patients
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apc.html
October 01, 2017 - Wound Classification
Presented by Karen Zulkowski, D.N.S., RN. … This webinar discusses how to assess and measure a wound. … National Pressure Ulcer Advisory Panel (NPUAP) Clinical Practice Guidelines specific to nutrition in wound … This webinar reviews medical device-related pressure injuries, mucosal injuries, and how they differ … injuries.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - your hospital identified hospital-specific reasons to change how it manages the prevention of pressure injuries … Has your hospital assessed staff attitudes about pressure injuries?
… On a scale of 1 to 5, with 5 being the highest level of support, rate the overall medical staff support … and a sense of urgency is lacking, has your hospital begun efforts to show stakeholders that pressure injuries … (To learn more about measurement, see the supplementary training webinars Wound Classification and
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/051-top-10-successful-decolonization.docx
October 01, 2024 - , pressure injuries, and rashes.3,4
CHG is safe to use on friable skin, abrasions, superficial burns, … superficial pressure injuries, and wounds that are not packed or deep. … Wound care nurses who are comfortable with the use of CHG on wounds can provide support to other staff … Clean all medical devices.3,5
CHG is safe to use on medical devices, including central lines, drains, … FAQ: Wound Care. https://www.ucihealth.org/-/media/files/pdf/shield/hospital/hospital-step-4-faq-wound-care-doc.docx
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - A pressure injury/ulcer is a sterile wound.
3. … A mucosal membrane pressure injury/ulcer is found on mucous membrane as the result of medical equipment … A pressure injury/ulcer is a sterile wound.
False
3. … Wounds that become chronic are frequently stalled in the inflammatory phase of healing. … A mucosal membrane pressure injury/ulcer is found on mucous membrane as the result of medical equipment
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www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
January 01, 2024 - In Press, Wound
Practice and Research, September 2023. … Preplanning with protocols for
skin and wound care in obese patients. … Advances in Skin and Wound Care. 2004;7(8):436-43.
13. Chao E, Henshaw J. … International Wound Journal. 2023;20(7):2753-63.
24. … Medical Care. 2013;51(6):478-86.
44.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mchpcc-ps.html
June 01, 2018 - Birth trauma not elsewhere classified. 24
Many of these injuries to neonates may be preventable … . 25
Birth trauma—injury to neonate per 1,000 live births, 2004-2013
Year
Total
White … Overall Rate: In 2013, the birth trauma-neonatal injury rate was 1.9 per 1,000 live births. … Trends:
Birth trauma-neonatal injury rates fell from 2.6 per 1,000 live births in 2004 to 1.9 per … Between 2004 and 2013, birth trauma-neonatal injury rates fell for all racial/ethnic groups, except for